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Binasal occlusion is a technique used in neuro-optometric rehabilitation to reduce strain on the visual system, which can improve your gait and balance.
In the United States, an estimated 1.5 million people suffer a traumatic brain injury (TBI). Over 50,000 people die from these injuries each year, 230,000 people are hospitalized and survive, and about 80,000-90,000 people experience long-term disabilities. According to the Neuro Optometric Rehabilitation Association 90% of TBI and stroke patients experience visual deficits following their injury.
When a person suffers a traumatic brain injury, the brain's visual pathways can be disrupted. When nerve fibers within the brainstem are disrupted, the balance system and orientation systems are adversely affected. The experience of walking in unfamiliar environments or crowded areas, such as malls, can be overwhelming. The purpose of the binasal occlusion is to help with spatial orientation. Many patients have benefited from this treatment. When individuals walk using binasal occlusion, they report feeling more stable and secure. As a result of binasal occlusion, the patient is encouraged to rely more on their peripheral vision.
Typically, it is recommended to wear binasal occlusion for 2 weeks up to 6 months depending on the patient’s condition. Remember that neuro optometric rehabilitation is tailored to every patient. With the introduction of other therapies and improvement of spatial orientation, the importance of occlusion decreases. In many cases, it is recommended to utilize this treatment several hours a day, and in some cases, the patient is encouraged to wear it the vast majority of the time. Our neuro optometrist will assess your condition and determine the appropriate duration for wearing binasal occlusion. Binasal prescriptions may be worn both for reading and for distance vision.
Binasal occlusion can enhance the effectiveness of occupational and physical therapy programs when prescribed by a qualified neuro optometrist.
An important benefit of binasal occlusion is that you are able to walk with a sense of increased visual stability. If you have trouble walking comfortably and do not have a steady gait, binasal occlusion may be of benefit to you. With binasal occlusion, patients often report that the floor is no longer moving, so they feel better. The use of yoked prisms or base in prisms can be combined with binasal occlusion in some cases to improve balance.
Binasal occlusion, under the guidance of a neuro optometrist, may be used to improve the following visual conditions:
It's important to note that binasal occlusion may not be appropriate for all individuals with these conditions and should be done under the guidance of our qualified neuro optometrist. Additionally, binasal occlusion is typically only one component of a larger treatment plan that may include vision therapy, specialized lenses and prisms, and other therapies.
Several methods can be used to apply binasal occlusion as part of neuro optometric rehabilitation:
Sticker or patch: A small sticker or patch can be placed on the nose bridge of eyeglasses to block the nasal portion of the visual field.
Glasses with occlusion lenses: Glasses can be made with lenses that have one or both sides covered or partially covered to achieve the occlusion.
Tape: Some individuals may choose to apply tape directly to their skin to achieve binasal occlusion, though this method is less common and not recommended without the guidance of our qualified eye care professional.
The method of application will depend on the individual's specific needs and the recommendation of our eye doctor or vision therapist.
If you don’t already have a trusted optometrist or you live too far from our optometry clinic in Hixson, you could start your online search by typing in phrases such as "eye doctor near me," "neuro optometrist near me," or "eye specialist near me."
Binasal occlusion, as part of neuro-optometric rehabilitation, might be beneficial if you have experienced a traumatic brain injury and have difficulty walking, maintaining proper balance, being in a crowded environment, or if you suffer from any of the visual conditions listed above. Please call (423) 710 3965 to schedule a neuro optometric evaluation with Dr. McBryar. Those who have suffered a traumatic brain injury and suffer from visual impairment visit our neuro optometry clinic from all over Tennessee, and we are proud to be a leading provider of neuro-optometric rehabilitation services for patients from Hixson, Chattanooga, Cleveland, and Middle Valley.
Vision therapy is well worth the response, time and effort. Our Son had a hard time focusing and writing neatly. After vision therapy Seth could complete a task in half the time if previously took. His abilities to focus improved greatly and so did his handwriting.
Also, he was better at listening. As a parent, we wanted learning to be fun for our Son, and vision therapy made this possible.
Vision Therapy is well worth the expense, time and effort. Our son had a hard time focusing handwriting neatly. After vision therapy Seth could complete a task in half the time it previously took his abilities to focus and improved greatly and so did his handwriting.
Also, he was better at listening. As a parent you wanted learning to be fun for our son and vision therapy made this possible.
Vision Therapy has given or son the tools he needs to be able to scan and read the written word more effectively and efficiently.
He love working with John and these working sessions give him the motivation to gladly work on his homework assignments.
It amazed us to see the difference in the tracking of his eyes and along a line of it's from the beginning to the end of the treatment.
Dr. McBryar , Kristen and John are all marvelous and we would recommend them to anyone I only wish that we would have found them sooner!
Prior to coming to the institute for vision development my son complained of daily headaches. Therapy has eliminated his headaches completely. I love knowing my son is able to learn pain-free for the rest of his life because of the work that has been done over just a few weeks in this office. He he absolutely loved coming that didn't even feel like going to a doctor or therapy. We are grateful for the relief he was able to find by coming here.
Thank you!
Seems much less frustrated with life
Reads non-stop and fast
Spelling abilities have been hugely improved
Seems much more confident
Thank You!!!
When we first came to the practice, my son did not have huge issues, but lots of small ones- trouble with reading, sports (hitting the baseball consistently), coordination, etc- that were not easily detectable,but when put together presented issues. The staff here were all very professional and loving towards him. While I was concerned in the reading, my son was concerned with the athletic side. Seeing improvement night off the bat gave him confidence that i have nor seen in him and made him want to not only Come to therapy, but also made him want to work hard. He has surpassed his grade level and above in reading and hit his first home run this year! Thank you!!!
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